1.やさしい
In pericarditis, which structure is inflamed?
- AThe heart muscle itself
- BThe sac that surrounds the heart
- CThe coronary arteries
- DThe inner lining of the heart chambers
2.やさしい
ヘパリンやアピキサバンなどの抗凝固薬の主な役割は何ですか?
- A既存の血栓を数分で完全に溶かすこと
- B血小板どうしがくっつくのを止めること
- C手術や出血の後に血小板数を増やすこと
- D新しい血栓を予防し、既存の血栓が大きくなるのを止めること
3.やさしい
What is the normal PR interval on an adult ECG?
- A1.0–1.2 seconds
- B0.40–0.60 seconds
- C0.12–0.20 seconds
- D0.02–0.06 seconds
4.ふつう
A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?
- ANicotine replacement is much safer than smoking and is recommended
- BNicotine replacement only works if smoking continues
- CNicotine patches are much more harmful to the heart than cigarettes
- DPeople with angina must stop smoking without any help
5.ふつう
Why are beta-blockers often started after a myocardial infarction?
- AThey lower the heart's oxygen demand and reduce arrhythmias
- BThey reduce cholesterol in the blood
- CThey dissolve the clot that is blocking the coronary artery
- DThey raise the heart rate to improve blood flow to the muscle
6.ふつう
After a prescribed IV fluid bolus for hypotension, what should the nurse do next?
- AStop all monitoring if the patient says they feel better
- BWait until the next routine observations in four hours
- CReassess heart rate, blood pressure, urine output and lung sounds
- DStart a second fluid bolus straight away without checking anything
7.むずかしい
心房細動でワルファリンを服用している患者に、クラリスロマイシンが処方されました。最も適切な対応はどれですか?
- A抗菌薬はワルファリンに影響しないので、何も変えない
- B抗菌薬の投与期間中ずっとワルファリンを中止する
- CINRが上昇しうるため、早めに検査すべきか尋ねる
- D投与期間中、ワルファリンの量を2倍にする
8.むずかしい
A patient with crushing chest pain has ST elevation in leads V1–V4. Which coronary artery is most likely blocked?
- AThe left anterior descending artery
- BThe right coronary artery and its branches
- CThe left subclavian artery
- DThe circumflex artery
解答
- 1. B · The sac that surrounds the heart
- 2. D · 新しい血栓を予防し、既存の血栓が大きくなるのを止めること
- 3. C · 0.12–0.20 seconds
- 4. A · Nicotine replacement is much safer than smoking and is recommended
- 5. A · They lower the heart's oxygen demand and reduce arrhythmias
- 6. C · Reassess heart rate, blood pressure, urine output and lung sounds
- 7. C · INRが上昇しうるため、早めに検査すべきか尋ねる
- 8. A · The left anterior descending artery
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